The psychiatric-mental health nurse is performing the admission assessment of a client who is being admitted for depression and anxiety. The client reports a long history of excessive alcohol use and the recent loss of her job. When the nurse asks whether she has a religious preference or affiliation, the client states. "I used to believe in God, but I do not anymore. I do not understand how God can allow terrible things to keep happening to me.' Which nursing diagnoses will the nurse include in the client’s care plan?

Risk for lack of faith

Risk for spiritual distress

Risk for impaired religiosity

Risk for impaired spirituality

Answer and Explanation

The Correct Answer is B

The client's statement about losing faith in God and not understanding how God could allow bad things to happen to her suggests that she is experiencing spiritual distress. This can be common among individuals experiencing depression and anxiety, as they may struggle to find meaning or purpose in their lives.

Option a, Risk for lack of faith, is not a recognized nursing diagnosis.

Option c, Risk for impaired religiosity, may be more appropriate for a client who has experienced a significant change in their religious practices or beliefs but does not necessarily indicate distress.

Option d, Risk for impaired spirituality, could be appropriate but may be too broad and not specific enough to the client's situation.

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Correct Answer is C

Explanation

Sigmund Freud was an Austrian neurologist who developed psychoanalytic theory and therapy in the late 19th and early 20th centuries. He believed that unconscious thoughts, feelings, and experiences from childhood could inﬂuence behavior and mental health in adulthood. Psychoanalytic therapy is a type of talk therapy that aims to bring these unconscious thoughts and experiences to the surface, in order to help patients gain insight into their behavior and mental health.

Defence mechanisms are psychological strategies that individuals use unconsciously to protect themselves from anxiety and emotional pain. Freud identified several defense mechanisms, including repression, denial, projection, and displacement. Psychoanalytic therapy is designed to help patients identify and understand these defense mechanisms, in order to develop healthier coping strategies.

Dorothea Dix was a social reformer who advocated for the humane treatment of the mentally ill. Erick Erickson was a developmental psychologist who developed a theory of psychosocial development.

Hildegard Peplau was a nurse theorist who developed a theory of interpersonal relationships in nursing. None of these individuals were associated with the development of psychoanalytic therapy.

A. “Let's talk to the doctor about getting something ordered before the procedure." B. “That must be overwhelming considering how often we access the port." C. "Do you think you will be able to control your anxiety in the future?' D. “What have you done in the past to relieve or reduce your anxiety during the procedure?"

Correct Answer is D

Explanation

This response by the nurse would be most appropriate for the assessment stage of crisis intervention because it focuses on understanding the client’s past experiences and coping mechanisms. By asking the client about what has worked for them in the past, the nurse can help the client identify and use eﬀective strategies to manage their anxiety during the procedure.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Who initiated psychoanalytical therapy as a treatment to assist in understanding the defense mechanism?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

An experienced nurse is observing a newly licensed nurse as she interacts with a client regarding his concerns about his relationship with his partner. Which of the following statements by the newly licensed nurse requires intervention by the experienced nurse?

A nurse is working with a client who used a condescending tone of voice in the conversation. Which response by the nurse is most therapeutic?

A nurse manager is providing staﬀ education about working with a client with a history of anger and aggression. Which of the following information should the nurse manager include in the teaching? (Select all that apply).

To address the client’s cultural needs, which of the following nursing actions would be most appropriate?

A victim of violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on which of the following?

A client was involuntarily admitted to a behavioral health facility after trying to harm himself. Which statement by the client would indicate further education is needed regarding his rights?

A nurse is speaking to the family of a Trauma victim. The nurse is blocking out the siren and alarm noises while speaking with the client’s family. They ask,” How can you be so calm and focused with all this noise going on?” The nurse is practicing which defense mechanism?

The nurse used the term “labile” in describing a client’s mood and behavior. What does this term indicate?